| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.98 | $28.98 | $28.98 | |
Aetna
| Professional | $28.31 | $30.57 | $136.13 | |
Cigna
| Professional | $19.25 | $19.25 | $19.25 | |
Molina
| Professional | $38.40 | $41.97 | $60.00 | |
Regence BlueShield
| Professional | $26.24 | $33.03 | $33.03 | |
United
| Professional | $15.66 | $20.01 | $33.35 |